NPI Code Detail JSON Logo

1891082780 NPI number — NANNETTE AVENIDO D.D.S.

NPI Number: 1891082780
Health Care Provider/Practitioner: NANNETTE AVENIDO D.D.S.

Information about “1891082780” NPI (NANNETTE AVENIDO D.D.S.) exists in 1891082780 in HTML format HTML  |  1891082780 in plain Text format TXT  |  1891082780 in PDF (Portable Document Format) PDF  |  1891082780 in an XML format XML  formats.

NPI Number : 1891082780 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891082780",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AVENIDO",
    "FirstName": "NANNETTE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.D.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "AVENIDO",
    "OtherFirstName": "NANET",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "D.D.S.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "4210 EAGLE ROCK BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90065-4405",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "323-550-8341",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4210 EAGLE ROCK BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90065-4405",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "323-550-8341",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/30/2011",
    "LastUpdateDate": "06/30/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "51228",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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